| NPI | 1619748886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35355) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TN 35355) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-05-22 |